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【medical-news】Low birth weights lower quality of life
低出生体重，低生活质量
Babies with very low birth weights tend to have a much lower quality of life when they are three or four years old, according to a study published in the latest issue of the UK-based Journal of Advanced Nursing. Researchers assessed 118 children who had birth weights of 1500g or less and compared them with a control group of 170 born at normal weights to compare their quality of life when it came to physical, emotional, cognitive and social functions.
根据最新发表在英国高等护理期刊上的研究表明，低出生体重婴儿在其三到四岁时有生活质量较差的倾向。研究人员分析了118名体重小于等于1500克的儿童，而对照组是170名出生时为正常体重的儿童。对照分析他们身体，情感，认知和社会功能。
They discovered that the very low birth-weight children scored consistently lower scores on a scale designed to measure quality of life among pre-school children.
在针对学龄前儿童生活质量设计的量表中，研究人员发现极低出生体重的儿童均获得相对较低的分数。
Their parents were also much more likely to say that their child had health issues, with 29 per cent reporting a current problem, compared with 18 per cent in the control group.
他们的父母也大多讲他们的孩子存在健康问题，大约有29%的报告有现存健康问题。而相对比对照组中有18%。
In general, children with low birth weight had poorer lung function, appetite and motor function than normal birth-weight children, as well as being more anxious, less positive and less lively.
一般情况下，低出生体重的儿童肺功能，消化和运动功能相对与正常出生体重的儿童要差，同时也更焦虑，消极和呆板。
Premature babies delivered before 28 weeks were much more likely to have a lower quality of life when it came to cognitive functions such as communication.
少于28周的早产儿在认知如交流等功能方面生活质量更差。
Longer stays in neonatal intensive care units were also linked to reduced social function. The researchers suggest that this could be related to higher stress levels in early life as no specific link was established between longer stays and reduced physical functioning.
长期住在新生儿重症监护病房也可降低社会功能。既是在长期居住和降低生理功能方面之间无特异性关联，研究者提示这可能与高压力水平相关。
The researchers also discovered that children with very low birth weights scored better on emotional and social quality of life scales if their primary caregiver had a higher level of education.
研究者还发现如果极低出生体重儿童的启蒙教育者拥有高教育水平，那么这些儿童在情感和社会功能方面的得分会高一些。
"Previous studies of very low birth-weight babies have mostly focused on issues such as death, illness, neurodevelopment, growth and cognitive ability" says lead researcher Dr Li-Yin Chien, Associate Professor in the Institute of Community Health Nursing at National Yang-Ming University, Taiwan.
首席研究者陈立银博士，台湾国立扬名大学社会健康护理学院的副教授说以往关于极低出生体重婴儿的研究多局限在死亡，疾病，神经发育，发展和认知功能上。
"Our research underlines the importance of monitoring quality of life in children with low birth weights to identify those at risk and intervene early.
我们的研究强调了针对低出生体重儿童监护质量的重要性，从而分辨风险，及早干预。
"Healthcare professionals need to consider a number of biological and environmental factors as part of their assessment. These include current health problems, age at delivery, length of stay in the neonatal intensive care unit and the educational level of the primary caregiver."
健康保健教授们应考虑讲一些生物学和环境因素作为他们评估的一部分。这些因素包括当前健康状况，分娩年龄，住在新生儿重症监护病房的时间长短以及启蒙者的文化水平。
Children ranging from 36 to 53 months were included in the study, supported by Taiwan's National Science Council. 57 per cent were boys.
由台湾国立科学委员会支持的该项研究，其中 57％36到53个月的婴儿是男婴。
252 mothers, 33 fathers and three other caregivers took part in the questionnaire-based study, which was carried out using a Mandarin language version of a quality of life instrument developed in the Netherlands.
252名妈妈，33名爸爸，和另外三个监护者参与了问卷调查。该调查使用了荷兰生活质量评价工具的官方语言。
The 118 very low birth weight children were less than 1500g (three pounds and five ounces) and were cared for in the neonatal
intensive care units of four hospitals in northern Taiwan. The survival rate for babies in this weight range is just over 76 per cent in Taiwan.
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作者:admin@医学,生命科学 2011-01-25 05:14
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